As a said before by others, the number of cases and ability for it to spread is going to of course be more prominent in higher density population areas. However, if some of the more rural areas are not cautious, it could be terrible, as they have limited access to much ICU capacity. So I think for rural communities the outcome could be one extreme or the other.
Yeah... from what I've gathered through my rural Iowa friends, they aren't taking social distancing nearly as seriously as they should be. Those rural county hospitals are NOT equipped to handle this.